EFM是产科临床最常用监护手段.doc

EFM是产科临床最常用监护手段 EFM is the most commonly used monitoring method for obstetrics and gynecology, which is an important method for understanding the condition of the fetus and the ability of the fetus to store it. According to ACOG, about 85% of live births in the United States use EFM ,despite the EFM clinical application widely, but there are still many disadvantages, such as high rate of false positives and increase clinical unnecessary intervention, lead to vaginal midwifery and cesarean section rate increased The resuIts of the EFM are determined by the individual and individual errors of human interpretation the institute of obstetrics and gyn ecology developed the EFM guide to standardize the analysis and application of EFM China has so far lacked the relevant specifications for the EFM Regulation and collection of fetal heart rate The fetal heart beats for 35 days and can reach 175bpm in nine weeks? Between 15 and 20 weeks, 160 to 170bpm, gradually slowing down: 40 weeks of 140 150 BPM. Fetal cardiac, issued by the sinoatrial node, the sympathetic nerve and parasympathetic nerve double control, also affected by pressure sensors, chemical sensors, concentration of electrolyte, temperature, the influence of the oxygen and carbon dioxide partial pressure? ,according to the principle of ultrasonic doppler fetal monitor, ultrasound probe to detect heart throb, mainframe computing time needed for a jump to the next jump divided by 60, namely for the instantaneous heart rate, record every moment of the heart rate meter around it in the paper, connected into a curve, combined with uterine contractions eeg, records, and quickened formed a complete cardiac monitoring records, reflect the relationship between the three? Methods: external (indirect monitoring) and in-uterine (direct monitoring), often indirect monitoring Heart rate baseline ? the average of the placental heart rate, which lasts over lOmin, has no fetal movement, no contractions, or contractions of contrac